[Concomitant tuberculosis of the lung and kidneys: the clinical and diagnostic features].

Three groups of patients were examined. These included: (1) 134 patients with concomitant tuberculosis of the lung and kidneys; (2) 103 patients with pulmonary tuberculosis; (3) 65 patients with renal tuberculosis. It was established that conventional clinical, X-ray tomographic, and laboratory studies assisted in diagnosing concomitant tuberculosis of the lung and kidney in 42.5% of the patients and difficulties ensued in the diagnosis of 57.5% of cases. A comprehensive study involving pulmonary X-ray tomography, X-ray contrast urography, renal ultrasound scanning, sputum and urinary test for Mycobacterium tuberculosis, immunoassay, and immunoprovocative test with 20 TE of PPD enhanced the efficiency of diagnosis of this disease uo to 92%.